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https://www.readbyqxmd.com/read/29691186/does-micropuncture-technique-really-help-reduce-vascular-complications
#1
Hari Bogabathina, Sampath Singireddy, Runhua Shi, Liam Morris, Abdulrahman Abdulbaki, Henock Zabher, Pavan Katikaneni, Kalgi Modi
BACKGROUND: Micropuncture technique (MPT) is being adapted nationally to reduce vascular complications (VC). We initiated a quality improvement project in our cath lab to reduce VCs utilizing MPT. METHODS: We utilized MPT on all of our non-STEMI femoral artery (FA) access cases starting September 2016. As a comparator group, we collected data from April to August 2016. Anatomic localization of FA and fluoroscopic marking of femoral head was utilized in all cases...
March 26, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29691184/successful-percutaneous-closure-of-a-large-symptomatic-av-fistula-using-an-amplatzer-occluder-device
#2
Alireza Khosravi, Masude Pourmoghadas, Mohammad Reza Movahed
Atrial septal device occluders such as amplatzer occluder have been designed to close atrial septal defects of paten formal ovale. Off label use of this device has been reported in pathological conditions that connect two vascular compartments with narrow neck. In this report, we describe a successful closure of a traumatically occurred AV fistula between iliac artery and iliac vein using amplatzer occluder device that has not been reported previously. This rare case is followed by a review of the literature...
April 12, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29688942/closure-of-large-percutaneous-femoral-venous-access-using-a-modified-figure-of-eight-suture
#3
Christophe A Wyss, Oliver Anliker, Oliver Gämperli, Daniel Sürder, Patric Biaggi, Ines Buhler, Sacha P Salzberg, Jürg Grünenfelder, Roberto Corti
Recent advances in different percutaneous treatments made insertion of large-caliber sheaths in the femoral veins more common. Venous punctures are historically managed by initial manual compression with subsequent application of a compression bandage and bed rest. We describe a modified "figure-of-eight" suture technique for minimizing the risk of accidental puncture of the vein while grabbing the subcutaneous tissue. We examined the safety and feasibility of this technique combined with early mobilization in a real-world setting...
April 23, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/29688199/-radiofrequency-ablation-in-comprehensive-surgical-treatment-of-patients-with-varicose-veins-of-lower-limbs
#4
M D Dibirov, A I Shimanko, R U Gadzhimuradov, A S Volkov, D S Tiurin, A Kh Magdiev
Analysed herein are the results of using radiofrequency ablation (RFA) in comprehensive surgical treatment of patients presenting with varicose veins of the lower extremities. The study included a series of ninety-eight 28-to-60-year-old patients (with a total of 105 operations performed) suffering from varicose veins of the lower limbs. Of these, there were 10 men (10.3%) and 88 women (89.7%). Venous disease of clinical class C2 according to the CEAP classification was diagnosed in 80 patients, that of class C3 in 17, and that of class C4a in 1 patient...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/29681408/manta-versus-proglide-vascular-closure-devices-in-transfemoral-transcatheter-aortic-valve-implantation
#5
Fausto Biancari, Hannu Romppanen, Mikko Savontaus, Antti Siljander, Timo Mäkikallio, Olli-Pekka Piira, Jarkko Piuhola, Viivi Vilkki, Antti Ylitalo, Tuija Vasankari, Juhani K E Airaksinen, Matti Niemelä
BACKGROUND: The MANTA system is a novel vascular closure device (VCD) and its safety and efficacy were compared to the ProGlide VCD in patients undergoing transfemoral transcatheter aortic valve implantation (TAVI). METHODS: This is a retrospective study including 222 patients who underwent transfemoral TAVI at three Finnish University Hospitals. The MANTA VCD was used in 107 patients and their outcome was compared with that of 115 patients in whom the arterial access was closed with the ProGlide VCD...
April 14, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29680999/current-state-of-left-atrial-appendage-closure
#6
REVIEW
Ricardo Kosturakis, Matthew J Price
PURPOSE OF REVIEW: Atrial fibrillation (AF), the most common sustained arrhythmia, is a major cause of stroke and systemic embolism, and is increasing in prevalence. Device closure of the left atrial appendage (LAA) represents a non-pharmacologic approach to stroke prevention in AF patients. This review presents the rationale for LAA closure (LAAC), describes current transcatheter approaches to LAAC, and summarizes the current evidence for LAAC for stroke prevention, highlighting the main randomized trials and the most recent data available...
April 21, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/29680895/patent-foramen-ovale-and-stroke
#7
Bruno Miranda, Ana Catarina Fonseca, José M Ferro
A patent foramen ovale (PFO) is a highly prevalent finding in cryptogenic ischaemic stroke, particularly in young adults. A common challenge in clinical practice is to distinguish between incidental and pathogenic PFO. Some clinical features and tools such as the Risk of Paradoxical Embolism score may help determining the probability of a stroke-related PFO. Nonetheless, the best therapeutic option to reduce stroke recurrence after a cryptogenic stroke with PFO has been a matter of debate for a long time. We review the mechanisms of stroke-related PFO, together with its clinical features and diagnostic criteria...
April 21, 2018: Journal of Neurology
https://www.readbyqxmd.com/read/29678650/femoseal%C3%A2-device-use-for-femoral-artery-closure-by-different-techniques
#8
Roberto Gabrielli, Maria Sofia Rosati, Massiliano Millarelli, Angelica Dante, Maurizio Maiorano, Aldo Musilli, Roberto Chiappa, Marco Ventura
BACKGROUND: Common femoral artery is still the most frequently site used for vascular access, mostly for peripheral arterial interventions and its puncture remains a significant source of patient's morbidity. Manual compression (MC) has been the gold standard for hemostasis after femoral catheterization until recently, but only in the last few years, vascular closure devices (VCDs) are replacing MC due to their rapid development. Nowadays also vascular surgeons are becoming familiar with VCDs...
April 17, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29674011/endovascular-transjugular-occlusion-of-congenital-intrahepatic-portosystemic-venous-shunt-using-simultaneous-fluoroscopy-and-transabdominal-ultrasound-guidance-report-of-2-cases
#9
Ujjwal Gorsi, Naveen Kalra, Pankaj Gupta, Karthik Rayasam, Babu Ram Thapa, Hemant Bhagat, Niranjan Khandelwal
Congenital intrahepatic portosystemic venous shunts (CIPVS) are rare anomalies that can be detected before birth or in early infancy or later in life. Symptomatic shunts are treated as they carry high risk of complications like hepatic encephalopathy. Various treatment options include surgery, endovascular embolization, and percutaneous closure devices. We treated 2 infants with CIPVS successfully by endovascular embolization of the shunt using vascular plug through transjugular route. Transabdominal ultrasound guidance in addition to fluoroscopy was used at the time of vascular plug placement...
March 20, 2018: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29673514/outcomes-after-device-closure-of-atrial-septal-defect-in-children-the-present-is-good-is-the-future-brighter
#10
EDITORIAL
Lourdes R Prieto
No abstract text is available yet for this article.
April 23, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29673273/long-term-effects-of-frontalis-fascial-slings-on-the-elastic-properties-of-the-upper-eyelid
#11
Adriano Baccega, Denny Marcos Garcia, Antonio Augusto Velasco Cruz
PURPOSE: To measure the long-term effects of frontalis slings with fascial tissues on the downward eyelid saccadic movements Methods: Downward lid saccades for 10, 20, 30 40 and 50 degrees of downgaze were measured in a sample of 19 patients with congenital ptosis who underwent frontalis slings with fascia lata (autogeneous and banked) and temporalis fascia. Mean postoperative time was 10.7 years ± 3.8 SD. Seventeen age-matched normal subjects comprised the control group. Lid movements as well as the magnitude of brow motion were quantified in all participants with an opto-eletronic device that automatically corrected any head movement...
April 20, 2018: Current Eye Research
https://www.readbyqxmd.com/read/29666940/asd-closure-in-structural-heart-disease
#12
REVIEW
Dominik M Wiktor, John D Carroll
PURPOSE OF REVIEW: While the safety and efficacy of percutaneous ASD closure has been established, new data have recently emerged regarding the negative impact of residual iatrogenic ASD (iASD) following left heart structural interventions. Additionally, new devices with potential advantages have recently been studied. We will review here the potential indications for closure of iASD along with new generation closure devices and potential late complications requiring long-term follow-up...
April 17, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/29663193/finite-element-analysis-of-tricuspid-valve-deformation-from-multi-slice-computed-tomography-images
#13
Fanwei Kong, Thuy Pham, Caitlin Martin, Raymond McKay, Charles Primiano, Sabet Hashim, Susheel Kodali, Wei Sun
Despite the growing clinical interest in the tricuspid valve (TV), there is an incomplete understanding of TV biomechanics which is important in normal TV function and successful TV repair techniques. Computational models with patient-specific human TV geometries can provide a quantitative understanding of TV biomechanic. Therefore, this study aimed to develop finite element (FE) models of human TVs from multi-slice computed tomography (MSCT) images to investigate chordal forces and leaflet stresses and strains...
April 16, 2018: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/29659089/recurrent-aortic-root-pseudoaneurysm-after-transcatheter-occlusion-a-word-of-caution
#14
Makoto Hibino, Yoshiaki Katada, Kentaro Shibayama, Kotaro Obunai, Hiroyuki Watanabe, Yuji Kawano, Shun Watanabe, Minoru Tabata
A 48-year-old male developed a recurrent aortic-root pseudoaneurysm after surgical repair for acute dissection. Although the initial closure of the pseudoaneurysm was successfully managed by transcatheter endovascular occlusion and coiling utilizing a hybrid transapical and transfemoral approach, the pseudoaneurysm was recanalized after 3 months and a third-time surgical repair was required. The potential risk for recurrence of pseudoaneurysms should be considered when applying endovascular occlusion devices to treat aortic root anatomy...
April 2018: Journal of Cardiac Surgery
https://www.readbyqxmd.com/read/29656937/mynxgrip%C3%A2-vascular-closure-device-versus-manual-compression-for-hemostasis-of-percutaneous-transfemoral-venous-access-closure-results-from-a-prospective-multicenter-randomized-study
#15
Itsik Ben-Dor, Paige Craig, Rebecca Torguson, Toby Rogers, Kyle D Buchanan, Shreejana Pokharel, Jiaxiang Gai, Petros G Okubagzi, Lowell F Satler, Augusto D Pichard, Nevin C Baker, Ron Waksman
PURPOSE: Evaluate the safety of MynxGrip® for common femoral vein closure. METHODS AND MATERIALS: This is a multicenter, randomized, prospective study of 208 patients who were slated to undergo diagnostic/interventional procedures via femoral venous access. Patients were randomized 1:1 to receive venous hemostasis via MynxGrip® (n = 104) or manual compression (n = 104) utilizing 5, 6, and 7 Fr sheaths. Bilateral calf and thigh circumferences were measured serially...
March 12, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29655814/safety-and-efficacy-of-arterial-closure-devices-in-an-office-based-angiosuite
#16
Lauren E Jones, Keun-Ho Yang, Robert W Feldtman, Pablo V Uceda, Craig A Ferrara, Joseph M Caruso, Jasmine L Richmond, Samuel S Ahn
BACKGROUND: We aimed to compare the safety and efficacy of 5 arterial closure devices in an outpatient endovascular surgery center. MATERIALS AND METHODS: We retrospectively reviewed all cases using femoral arterial access performed between January 2012 and December 2013. Five different arterial closure devices (AngioSeal, Perclose, StarClose, ExoSeal, and Mynx) were used by 7 endovascular surgeons. All femoral arteries were accessed with 6F sheaths under ultrasound guidance...
April 12, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29652285/tricuspid-stenosis-a-rare-and-potential-complication-of-ventricular-septal-occluder-device
#17
Ganesh Kumar Munirathinam, Bhupesh Kumar, Anand Kumar Mishra
Asymmetrical septal occluder device (ASOD) has made percutaneous closure of ventricular septal defect an easy and effective management option. Although there are reports of aortic and tricuspid valvular regurgitation after deployment of ASOD, only few cases of tricuspid stenosis (TS) has been reported so far in the literature. We report a case of malaligned ASOD that occurred after successful device closure resulting in TS along with mild tricuspid and aortic regurgitation requiring surgical retrieval. Transesophageal echocardiography played crucial role in detecting the cause of tricuspid valve dysfunction besides providing continuous monitoring during the procedure...
April 2018: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/29650978/percutaneous-closure-of-left-atrial-appendage-significantly-affects-lipidome-metabolism
#18
G Yücel, M Behnes, C Barth, A Wenke, B Sartorius, K Mashayekhi, B Yazdani, T Bertsch, J Rusnak, A Saleh, U Hoffmann, C Fastner, S Lang, X Zhou, K Sattler, M Borggrefe, I Akin
Patients with non-valvular atrial fibrillation (AF) and a high risk for oral anticoagulation can be treated by percutaneous implantation of left atrial appendage occlusion devices (LAAC) to reduce the risk of cardio-embolic stroke. This study evaluates whether LAAC may influence lipid metabolism, which has never been investigated before. Patients with successful LAAC were included consecutively. Venous peripheral blood samples of patients were collected immediately before (T0, baseline) and 6 months after (T1, mid-term) LAAC...
April 12, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29649819/patent-foramen-ovale-and-cryptogenic-stroke-or-transient-ischemic-attack-to-close-or-not-to-close-a-systematic-review-and-meta-analysis
#19
Simona Lattanzi, Francesco Brigo, Claudia Cagnetti, Mario Di Napoli, Mauro Silvestrini
BACKGROUND: The optimal strategy of secondary stroke prevention in patients with patent foramen ovale (PFO) is controversial. This study was performed to evaluate the efficacy and safety of the device closure (DC) versus the medical therapy (MT) in patients with cryptogenic stroke or transient ischemic attack (TIA) and PFO. SUMMARY: Randomized controlled trials with active and control groups receiving the DC plus MT and MT alone in patients with history of cryptogenic stroke/TIA and diagnosis of PFO were systematically searched...
April 12, 2018: Cerebrovascular Diseases
https://www.readbyqxmd.com/read/29644299/surgical-management-of-compartment-syndrome-and-the-gradual-closure-of-a-fasciotomy-wound-using-a-dermaclose-device
#20
Gregory C Manista, Andrew Dennis, Matthew Kaminsky
The immediate recognition and timely response of compartment syndrome due to damage caused by penetrating trauma has immense clinical outcomes. The following is a case report of a complicated fasciotomy in a 33-year-old male who suffered a gunshot wound to his left lower extremity and the surgical management leading to adequate limb salvage and recovery.
April 2018: Trauma Case Reports
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